Provider Demographics
NPI:1801901343
Name:REIFE, HOWARD B (DPM)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:B
Last Name:REIFE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5600 W 95TH STREET
Mailing Address - Street 2:SUITE 215
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2968
Mailing Address - Country:US
Mailing Address - Phone:913-648-1020
Mailing Address - Fax:913-648-0086
Practice Address - Street 1:5600 W 95TH STREET
Practice Address - Street 2:SUITE 215
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2968
Practice Address - Country:US
Practice Address - Phone:913-648-1020
Practice Address - Fax:913-648-0086
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KSP124213E00000X
MO398213E00000X
FL872213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO300800307Medicaid
MO300800307Medicaid
0003492AMedicare PIN
5757650001Medicare NSC